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MR imaging of the stomach: potential use for mangafodipir trisodium--a study in swine
Chun S Zuo1, Peter R Seoane, Jiani Hu
1Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA. czuo@mclean.harvard.edu
Purpose:
To evaluate mangafodipir trisodium as a potential contrast agent at magnetic resonance (MR) imaging of the stomach.
Materials And Methods:
Mangafodipir trisodium was injected intravenously into three swine at a dose of 5 micromol per kilogram of body weight. For comparison, gadopentetate dimeglumine was injected into three other swine at a dose of 0.1 mmol per kilogram of body weight. T1-weighted three-dimensional MR images were acquired in all six swine at 1.5 T before and approximately 10, 15, 20, 25, 30, and 40 minutes after contrast material administration. Extracted stomach specimens were imaged at 3.0 T. In vivo and ex vivo images were evaluated visually and quantitatively for contrast enhancement of the stomach, and in vivo images were evaluated for the presence of reflux from the duodenum.
Results:
Mangafodipir trisodium produced prolonged and selective enhancement of the inner surface of the stomach, in contrast to the more general enhancement seen with gadopentetate dimeglumine, and reflux from the duodenum could not account for this selective enhancement. Ex vivo images confirmed that T1 enhancement in the stomach wall with mangafodipir trisodium was limited to the inner surface. Gadopentetate dimeglumine did not produce selective enhancement of the inner surface of the stomach.
Conclusion:
Mangafodipir trisodium preferentially enhances the inner surface of the stomach on MR images acquired in swine and, therefore, may have potential for use as a contrast agent at MR imaging of the human stomach.
Insights
Mangafodipir trisodium shows promise as a stomach MRI contrast agent, selectively enhancing the inner stomach lining in swine studies. This targeted enhancement differs from gadopentetate dimeglumine, suggesting potential for improved gastric imaging.
Area of Science:
- Medical Imaging
- Radiology
- Gastroenterology
Background:
- Magnetic resonance (MR) imaging is crucial for visualizing gastrointestinal structures.
- Developing targeted contrast agents can improve diagnostic accuracy in stomach imaging.
Purpose of the Study:
- To assess mangafodipir trisodium as a novel contrast agent for MR imaging of the stomach.
- To compare its enhancement characteristics with a standard agent, gadopentetate dimeglumine.
Main Methods:
- Intravenous administration of mangafodipir trisodium (5 micromol/kg) or gadopentetate dimeglumine (0.1 mmol/kg) in swine.
- Acquisition of T1-weighted 3D MR images in vivo (1.5 T) and ex vivo (3.0 T).
- Evaluation of contrast enhancement patterns and duodenal reflux in stomach specimens and in vivo.
Main Results:
- Mangafodipir trisodium demonstrated prolonged, selective enhancement of the stomach's inner surface.
- Gadopentetate dimeglumine resulted in more generalized stomach enhancement.
- Ex vivo imaging confirmed mangafodipir trisodium's enhancement was confined to the inner stomach wall.
Conclusions:
- Mangafodipir trisodium exhibits preferential enhancement of the gastric mucosa in swine MR imaging.
- This selective enhancement suggests potential utility as a contrast agent for human stomach MR imaging.
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